NPI | 1942555370 |
---|---|
Entity Type | Organization |
Authorized Contact | PAULINE FREDERICK Family Nurse Practitioner 910-353-1991 |
Organization Subpart ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5004371) |
Enumeration Date | 2012-07-23 |
Last Update Date | 2014-02-03 |